July 2019

Research has indicated there are millions of people worldwide who have diabetes. Many of these patients will develop wounds on the feet, which may lead to foot ulcers. It is important to treat these wounds promptly, as this may prevent serious foot conditions from developing. Wound healing may be accelerated when the damaged tissue is removed, and this can be accomplished from a variety of methods. When the correct dressing is applied, the wound can heal and drain properly. Many patients find it necessary to keep pressure off the foot, and this can be accomplished by wearing a boot or a removable cast walker. If you would like additional information on how to care for foot wounds, it is strongly suggested that you schedule a consultation with a podiatrist.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our office located in Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Has your child been complaining of pain, swelling, or redness in one or both heels? Is your child very active, especially in sports such as basketball and soccer? Sever’s disease is a swelling and irritation of the growth plate in the heel. It is not actually a disease, but a heel injury. Sever’s disease happens during the growth spurt of puberty. During the growth spurt, your child’s heel bone grows faster than the muscles, tendons, and ligaments in their legs. While the best treatment is rest, your doctor may also recommend the following: ice packs on the heel every 1-2 hours for 15 minutes, gel cups or supportive shoe inserts, and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen for pain relief. If your child is complaining of heel pain, please contact your local podiatrist.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

People with flat feet, also known as fallen arches, have either no arch in their foot or just one that is very low. This can cause discomfort, lead to pain elsewhere in the body, as well as be an indicator to an underlying disorder. The majority of people that will experience flat feet will not show any signs of it. Some causes of flat feet include arthritis, foot or ankle injuries, weak arches and genetic factors, as it is possible for flat feet to pass from parents to their children. There are different treatments for flat feet, such as wearing an ankle brace to reduce inflammation, using fitted insoles and orthotics, or obtaining custom-designed arch supports to relieve pressure on the arch. It is advised that people who have recently developed flat feet, have pain in the feet and ankles, or have symptoms that don’t improve with supported shoes, see a podiatrist as soon as possible.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our office located in Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Your lower extremities could begin to swell for a variety of reasons. Primarily, if you have been standing on your feet for a large portion of the day, your feet may swell. You may also notice puffiness if your salt intake is too high. For women, the feet can become swollen due to premenstrual syndrome (PMS) or pregnancy. Another cause is extra weight or obesity, considering the additional stress put on the feet. Some other sources of swelling include injuries, varicose veins, blood clots or a different medical condition. Swollen feet and ankles can be harmless, but occasionally they are signs of a more serious issue. Observe your feet often to see if they look enlarged, and if they do, you should contact a podiatrist who can assist you.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

• Broken bones
• Muscle strains
• Injuries to the tendons and ligaments
• Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

• Bruising
• Inflammation/ Swelling
• Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

If you have any questions, please feel free to contact our office located in Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The purpose of the peripheral nerves is to send messages to the nerves in the body, which affect sensation. Peripheral neuropathy can occur if there are complications with this group of nerves. The symptoms that are often associated with this condition can include tingling in the feet and hands, numbness, and muscle weakness. There may be existing medical conditions that can lead to peripheral neuropathy, which can include diabetes. Mild relief can be found if certain prescription medications are taken, and these may be helpful in reducing any burning and shooting pains that exist. If you have a tingling sensation in your feet, it is suggested to consult with a podiatrist as quickly as possible who can guide you toward the correct treatment.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our office located in Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.